<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title></title>
</head>
<body>
<div id="content_main">
	<form name="member" id="member" method="post" action="/ChitFund/user/saveMember.htm" >
		<div id="content_form">
			<div id ="error">
			</div>
			<div id=member_info>
			<fieldset>
			<legend><strong>Member Information</strong></legend>
			<table>
		    <tr>
		      <td><strong><label>Form No.</label></strong></td>
		      <td><input type="text" name="formNo" id="formNo"></td>
		      <td><strong><label>Member Id</label></strong></td>
		   	  <td><input type="text" name="memberId" id="memberId"></td>
		     </tr>
		    <tr>
		      <td><strong><label>Name </label></strong></td>
		      <td><input type="text" name="firstName" id="firstname"></td>
	   			<td><strong><label>Ticket No. </label></strong></td>
		      <td><input type="text" name="ticketNo" id="ticketNo" ></td>
		    </tr>
		    <tr>
		 	  <td><strong><label>Mobile No. </label></strong></td>
		      <td><input type="text" name="mobileNo" id="mobileNo"></td>
		      <td><strong><label>Join Date </label></strong></td>
		      <td><input type="text" name="joinDate" id="joinDate" onBlur="getAge()"/></td>
		 
		    </tr>

		  </table>
		 	<div class="form-btn">
		      <input name="search" id="search" type="submit" value="search"  class="btn btn-large">
		      <input name="Clear" id="clear"type="reset" value="Clear" class="btn btn-large">
		  </div>
		   </fieldset>
		  </div>
		 </div>
		
	</form>
</div>

</body>
</html>